How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $588.84 Median $5,623.41 Typical High $21,877.62 | Facility | None | $588.84 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $588.84 | Professional | None | $501.19 | $588.84 | $588.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $416.87 Median $758.58 Typical High $1,513.56 | Facility | None | $416.87 | $758.58 | $1,513.56 |
BCBS South Carolina Setting Professional Modifier None Typical Low $446.68 Median $562.34 Typical High $870.96 | Professional | None | $446.68 | $562.34 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $416.87 Typical High $707.95 | Facility | None | $251.19 | $416.87 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $933.25 | Professional | None | $467.74 | $562.34 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $645.65 | Facility | None | $144.54 | $223.87 | $645.65 |
Medcost Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $691.83 | Professional | None | $512.86 | $645.65 | $691.83 |
Molina Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $954.99 | Professional | None | $446.68 | $676.08 | $954.99 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
United Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $1,047.13 | Professional | None | $478.63 | $602.56 | $1,047.13 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $251.19 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $100.00 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $380.19 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $75.86 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $50.12 | $58.88 | $58.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $295.12 Median $323.59 Typical High $457.09 | Professional | 51 · Multiple procedures | $295.12 | $323.59 | $457.09 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
South Carolina· 33rd of 51
$589
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.